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Identity the work covered by this request:
❑ NEW ❑ REMODEL ❑ ADDITION
� SERVICES / POWER SUPPLIES
0 to 400 Amoere � $25
CIRCUITS / fEEDERS
0 to 200 Amoere �
REQUEST FOR ELECTRICAL INSPECTION
Minnesota Board of Electricity "�
1821 University Avenue Suite S-128, Saint Paul, Minnesota 55104
(651) 642-0800 TTY/MRS 1-800-627-3529
www.electricity.state.mn.us
�`?����';l � i)��� � �L� �i1CcC �'_
Outdoor Lighting Standard � $1
Traffic Sianal Standard � $5 �
ALARM, COMMUNICATION, REMOTE CONTROL, SIGI
CIRCUITS, CIRCUITS OF LESS THAN 50 VOLTS
Each S stem Device or A aratus (� $.50
ADDITIONS TO THE GENERAL FEES
Retrofit � $.25 per Fa
�ivot Irtigation Boom �
lured Home Park Lots
� $30 Per Fioll�
� $.31 cer Mile
Transformers over 10 KVA � $20
Transfortner / Power Supply for Signs / Outline Lighting �$5
ONE & TWO FAMILY DWELLINGS, EACH UNIT
Includes the Service andlor Power Supply up to 500 Amperes, All
Circuits and Two Inspectan Trips Each Dwelli Unit �$80
Additional Inspection Trips � $20
Investiaative Fee
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total fee is
described herein an Ihe
FOR OFF�E USE ONLY �
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R uest Date: Rough-in Inspection Required? ❑ Yes ❑ No Inspection Other Than Rough-In: Ready Now ❑ Will Call
�—' � OQ You must call the inspector when ready! Date Ready:
1 cerUiy that I am the �ICENSED CONTRACTOR ❑ COMPANY ❑ OWNER and hereby request inspection of the electrical worlc at: